Moore, Jennifer Nishkian

Moore, Jennifer Nishkian is an individual health care provider with primary practice located at 13095 Jamboree Rd , Tustin CA 92782-9150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Jennifer Nishkian can be contacted via phone (714) 838-8254.

Contact Information

Primary practice address
13095 Jamboree Rd Tustin CA 92782-9150
Phone: (714) 838-8254
Fax: (714) 838-9463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19486 California

Profile Details

NPI number 1801070933
LBN Legal business name Moore, Jennifer Nishkian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated May 16th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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